Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,025.60 / $6,025.60	Facility		$2,570.40	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,445.44	Professional		$891.25	$1,023.29	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,445.44	Professional		$1,023.29	$1,148.15	$1,445.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $14,454.40	Professional		$1,445.44	$1,659.59	$14,454.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $1,513.56	Professional		$1,071.52	$1,230.27	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,621.81	Professional		$776.25	$1,148.15	$1,621.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $4,677.35 / $9,332.54	Professional		$1,318.26	$4,677.35	$9,332.54